Results 141-160 of 1,120,748 for in 'Dáil debates' OR (speaker:Damien English OR speaker:Catherine Murphy OR speaker:Peter Fitzpatrick OR speaker:Verona Murphy OR speaker:Louise O'Reilly OR speaker:Pearse Doherty OR speaker:Mick Barry OR speaker:Kathleen Funchion OR speaker:Johnny Guirke OR speaker:Denise Mitchell OR speaker:Patrick O'Donovan OR speaker:Róisín Shortall OR speaker:Micheál Martin OR speaker:Paul Donnelly OR speaker:Thomas Gould OR speaker:Johnny Mythen OR speaker:Stephen Donnelly OR speaker:Joe O'Brien OR speaker:Darragh O'Brien OR speaker:Peter Burke OR speaker:Colm Burke OR speaker:Pádraig O'Sullivan OR speaker:Paul Murphy OR speaker:Richard Bruton OR speaker:Holly Cairns OR speaker:Jackie Cahill OR speaker:Michael Healy-Rae OR speaker:Norma Foley OR speaker:Mary Lou McDonald) in 'Committee meetings'
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: I understand. I have already accepted what Deputy Cullinane said. It is a fair challenge, but if I might challenge back slightly: he was not invited. I was invited, and I have come with the regional executive officer, who was not invited. I also come with three assistant secretaries who were not invited. If the committee was that keen on speaking to Ian Carter, respectfully, it should...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: I thank the Deputy very much. The first and simple answer is because the role does not exist any more. The role of hospital group chief executive does not exist. The role of CHO chief executive does not exist. This is not the same as someone being on administrative leave and simply moving from one permanent post to another. The role that the individual occupied is gone. The second...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: I am not a lawyer, but that is my suspicion.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: I thank the Deputy. I will make two quick points in response. One is that it is not a promotion. It is moving to what arguably would be seen as a smaller span of control, so I would not characterise it as a promotion. The promotion would be to Sandra Broderick's role, which is the regional executive officer role. The second point I would make is that the Deputy should not underestimate...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: Yes. We just have to be very careful about being seen to prejudice an investigation.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: I thank the Deputy. I might ask Ms Broderick to speak to that.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Yes, I am in my office in Agriculture House.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: I welcome the witnesses to the session. I want to stick with the issue of accountability. The apparent lack of accountability across senior levels within the public service and the Civil Service is something that drives the public mad. We see on a regular basis that there are rarely consequences involved when things go wrong for the senior people who may not have been doing their job...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: The short answer is that I agree with the Deputy. I agree with the Sláintecare recommendation. I agree with her point when it comes to the health service and the wider public sector. It is something that should be considered in the next programme for Government, whoever may be putting that together. Again, I am not an employment lawyer, but I have learned more about it over the past...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Okay-----
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: Finally, we have sought to address it within employment law within the new public-only consultant contract, which does contain more provisions around performance management and accountability.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: What the Minister is saying is welcome, but does that also apply to clinical directors? There is somewhat of a grey area around their roles in terms of responsibility.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: Yes, I could not agree more. The clinical director role does not do what most of us think it was meant to do, which is to performance manage. Obviously, we champion patient safety, but within that we must make sure the clinical teams within the organisations are operating to the best extent possible. There are some clinical directors who do that.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Okay, well-----
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: I apologise for interrupting. What I can tell the Deputy is that in the context of the new clinical director role, there is a significant focus on exactly the point she is making.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: If that is the Minister's view, I suggest that he might give consideration to reinstating the reporting arrangements for clinical directors because they have essentially been abandoned. In the context of accountability and the management structure, the Minister spoke to us about Ms Broderick, Mr. Carter and Dr. Peters. What exactly is that structure?
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: If it is okay, I will ask Ms Broderick to speak to that.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: Just to clarify, they are all reporting directly to Ms Broderick.
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Róisín Shortall: That is good. I thank Ms Broderick for that. The other two areas of accountability obviously relate to the two areas identified in Mr. Justice Frank Clarke's report, one of which was the completely inadequate capacity within the mid-west region in terms of emergency department, ED, capacity. That has to be a matter of political accountability. One does have to wonder about the original...
- Joint Oireachtas Committee on Health: Issues relating to University Hospital Limerick: Discussion (10 Oct 2024)
Stephen Donnelly: Can I respond to that, Chair?